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An excerpt from an Inspection Report is presented below. For a more extensive sample, a PDF version is available. Click here for full report.

Sample Report Excerpt:

Company XXX
PERIODIC SAFETY INSPECTION

Location: XXX

Date of Inspection: 7 May, 2003 Inspection by: XXXXXXXXX (Du-All Safety)

The following are violations of Cal/OSHA or Fed/OSHA regulations, National Fire Protection Agency standards, other applicable standards, or are hazardous conditions that may cause injury or illness to employees at XXX. These conditions require corrective action so as to ensure a safe and healthful workplace for employees, employer, and visitors.

The following hazards were identified during the May, 2003 safety inspection:

Date Corrected
& Initials

Risk Assess-ment

Identified Hazard/Recommendation

 

6

XX Blvd. Entrance to Co-Gen: Door should be posted with a "Noise Hazard" sign. A noise sample of the DbA in the room should be conducted to identify the noise level and provide the appropriate hearing protection for the exposed employees.

 

4

Inside XXX Blvd. Entrance to XX; on Heat Exchanger HX4-1: Open wiring junction box exposing internal wiring, next to open valve mechanical actuator mechanism, exposing hazardous moving parts - both should be closed.

 

4

Inside XXX Blvd. Entrance to XX; The electrical outlet near the sink needs to be a GFCI type. All electrical outlets within 5' of a sink must have a ground fault circuit interrupt (GFCI).

 

5

Chiller Room, near XX: Both doors to this room were observed to be chained open. These are fire doors and they should not be propped or chained open.

 

6

Chiller Room, near XX: Fire extinguisher at the front desk needs to be properly mounted 3-5' from the ground and clear 36".

 

 

See PDF version for more details....

Keep one copy of these findings and use a copy as a working correction aid.

Necessary correction notes that are required are:

  1. Who corrected the hazard.
  2. The date of the correction.

 

 

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